Organization · Type 2 NPI

Do Not Use

Clinic/Center · Dallas, TX

NPI number 1689867368 Active

Practice location

912 W 12th St
Dallas, TX 75208-6005

Call (214) 946-6400 Map

Fax (214) 946-6402

Mailing address

1231 Greenway Dr, Suite 120
Irving, TX 75038-2533

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3 other providers at this address

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About NPI 1689867368

Do Not Use's National Provider Identifier is 1689867368, issued on Aug 24, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Dallas, TX. The record was last updated on Jan 31, 2008.